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Individual

MARK N. BRANUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH, PHARMD, CGP

Contact information

Practice address
702 MONTGOMERY ST, DECORAH, IA 52101-2317
(563) 382-8765
(563) 382-1329
Mailing address
702 MONTGOMERY ST, DECORAH, IA 52101-2317
(563) 382-8765
(563) 382-1329

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20505
IA

Other

Enumeration date
10/06/2008
Last updated
02/22/2014
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